Author(s): Mohammad Ali Raza Qizalbash, Rida Zahra, Adnan Adil Mithwani, Anwar Adil Mithwani, Muaaz Adil Mithwan
Introduction: The surgical problem called acute cholecystitis is very common nowadays; however, it may be difficult to diagnose when a person has situs inversus, which is a congenital anomaly characterized by the viscera being situated on the opposite side of the body. Our case report discusses the history, findings from the physical examination, radiographic images, diagnosis, as well as how we dealt with cholecystitis in situs inversus with dextrocardia. Case presentation: An 86-year-old male presented to the emergency department with a complaint of pain in the upper-left hypochondrium region. He was later diagnosed to have acute cholecystitis (inflammation of the gallbladder) with cholelithiasis (presence of gallstones in the gallbladder) in situs inversus totalis. The patient underwent an elective open cholecystectomy within 24 hours. The patient recovered well and was discharged on postoperative day 4. Conclusion: Acute cholecystitis in situs inversus with dextrocardia is a rare congenital anomaly, and it requires great expertise in the field of surgery to operate on these patients because of the reverse anatomy of the organs.